The Use of Implementation Intentions to Increase the Appointment Attendance of OEF/OIF Veterans
2018年4月30日 更新者:VA Connecticut Healthcare System
The Use of Implementation Intentions to Increase the Appointment Attendance of Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Veterans
The purpose of the current pilot study will be to utilize implementation intentions to increase patient compliance with appointment attendance.
Participants in the current study will be individuals referred for evaluation of their treatment needs.
Experimental groups will create a simple induction consisting of "what/when/where" statements (implementation intentions) with the intention of increasing their rate of calling to schedule and subsequently attend appointments associated with their care.
It is anticipated that participants who take an active role in their plan and utilize the implementation intention procedures will be more likely to make and attend the appointments suggested by their treating clinician.
This pilot project will provide valuable initial data as to the potential effectiveness of a simple, cost-effective means of increasing appointment attendance.
If successful, it could lead to cost savings and a decrease in the appointment wait time for people by increasing the utilization of available appointments.
研究概览
详细说明
The purpose of the current pilot study will be to utilize implementation intentions to increase patient compliance with appointment attendance.
It is anticipated that participants who take an active role in their plan and utilize the implementation intention procedures will be more likely to make and attend the appointments suggested by their treating clinician.
Sixty participants will be recruited to participate in the research project.
Participants in the current study will be individuals referred for a secondary Traumatic Brain Injury (TBI) screen.
This appointment serves to develop the plan of care that will be used for determination of the treatments that would be beneficial to the Veteran and as such the appointments necessary for further assessment or treatment in affiliated clinics (i.e.
mental health, physical therapy, neuropsychology).
Twenty participants will serve as controls who will receive treatment planning as usual.
Twenty participants will receive treatment as usual but will be asked to contact the clinics directly to make their appointments.
Twenty participants will be provided with a simple implementation intention induction.
The simple induction will consist of the creation of "what/when/where" statements surrounding their intention to call to schedule and to attend medical appointments associated with their care.
Research staff will then monitor the participants' appointment schedule daily to determine if they made the appropriate appointments and subsequently attended those appointments.
Primary data for the examination will be these yes/no data points as to whether the participant successfully adhered to their initial intention to schedule the prescribed appointments.
Additionally, for those who schedule the prescribed appointments, the latency in days from the time they indicated they intended to make their appointments will serve as a measure of their compliance.
Across all groups, attendance at those appointments will be recorded to determine if the procedures lead to an increase in their attendance at their appointments compared to the treatment as usual group.
This pilot project will provide valuable initial data as to the potential effectiveness of a simple, cost-effective means of increasing appointment attendance.
If successful, it could lead to cost savings to the VA system and a decrease in the appointment wait time for Veterans by increasing the utilization of available appointments.
研究类型
介入性
注册 (实际的)
54
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。
学习地点
-
-
Connecticut
-
West Haven、Connecticut、美国、06516
- VA Connecticut Healthcare System
-
-
参与标准
研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
22年 至 50年 (成人)
接受健康志愿者
是的
有资格学习的性别
全部
描述
Inclusion Criteria:
- Completed appointment for secondary TBI screen
- English speaker
Exclusion Criteria:
- Neurological injury leading to dementia
- In ability to consent owing to cognitive barriers
- Non-English speaker
- Unable to schedule appointments the next working day after their secondary screen
学习计划
本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。
研究是如何设计的?
设计细节
- 主要用途:卫生服务研究
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
---|---|
无干预:Scheduling as Usual
Participants will be subject to the current appointment scheduling procedures.
|
|
实验性的:Contact Clinic
This group will be required to contact the clinic themselves to make appointments.
|
Participants will be asked to sign a form indicating their need to contact the recommended clinics to make their appointments.
|
实验性的:Implementation Intentions
This group will create Implementation Intentions to contact the clinic to make their appointments and to attend those appointments.
|
Implementation Intentions are a series of what/when/where statements that a participant will make to create automatic cues to complete a behaviorally advantageous action.
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Attendance at Scheduled Appointments
大体时间:Over a 60 Day Period
|
The attendance of the participants at their scheduled appointments will be measured.
|
Over a 60 Day Period
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员:Joseph F Kulas, Ph.D.、VA Connecticut Healthcare System
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- Milkman KL, Beshears J, Choi JJ, Laibson D, Madrian BC. Using implementation intentions prompts to enhance influenza vaccination rates. Proc Natl Acad Sci U S A. 2011 Jun 28;108(26):10415-20. doi: 10.1073/pnas.1103170108. Epub 2011 Jun 13.
- Stiggelbout AM, Van der Weijden T, De Wit MP, Frosch D, Legare F, Montori VM, Trevena L, Elwyn G. Shared decision making: really putting patients at the centre of healthcare. BMJ. 2012 Jan 27;344:e256. doi: 10.1136/bmj.e256.
- Sheeran P, Orbell S. Using implementation intentions to increase attendance for cervical cancer screening. Health Psychol. 2000 May;19(3):283-9. doi: 10.1037//0278-6133.19.3.283.
- Collins J, Santamaria N, Clayton L. Why outpatients fail to attend their scheduled appointments: a prospective comparison of differences between attenders and non-attenders. Aust Health Rev. 2003;26(1):52-63. doi: 10.1071/ah030052.
- Thornton R, Ballard K. Why military personnel fail to keep medical appointments. J R Army Med Corps. 2008 Mar;154(1):26-30. doi: 10.1136/jramc-154-01-08.
- Guy R, Hocking J, Wand H, Stott S, Ali H, Kaldor J. How effective are short message service reminders at increasing clinic attendance? A meta-analysis and systematic review. Health Serv Res. 2012 Apr;47(2):614-32. doi: 10.1111/j.1475-6773.2011.01342.x. Epub 2011 Nov 8.
- O'Carroll R, Dennis M, Johnston M, Sudlow C. Improving adherence to medication in stroke survivors (IAMSS): a randomised controlled trial: study protocol. BMC Neurol. 2010 Feb 24;10:15. doi: 10.1186/1471-2377-10-15.
- Sheeran P, Aubrey R, Kellett S. Increasing attendance for psychotherapy: implementation intentions and the self-regulation of attendance-related negative affect. J Consult Clin Psychol. 2007 Dec;75(6):853-63. doi: 10.1037/0022-006X.75.6.853.
- Brown I, Sheeran P, Reuber M. Enhancing antiepileptic drug adherence: a randomized controlled trial. Epilepsy Behav. 2009 Dec;16(4):634-9. doi: 10.1016/j.yebeh.2009.09.014. Epub 2009 Oct 27.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2013年6月1日
初级完成 (实际的)
2017年12月31日
研究完成 (实际的)
2017年12月31日
研究注册日期
首次提交
2012年7月22日
首先提交符合 QC 标准的
2012年7月22日
首次发布 (估计)
2012年7月25日
研究记录更新
最后更新发布 (实际的)
2018年5月3日
上次提交的符合 QC 标准的更新
2018年4月30日
最后验证
2018年4月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.
Contact Clinic的临床试验
-
McMaster UniversityCanadian Institutes of Health Research (CIHR); Hamilton Academic Health Sciences Organization完全的
-
Transitions ClinicUniversity of California, Davis完全的
-
University of North Carolina, Chapel HillMinistry of Public Health, Democratic Republic of the Congo; Kinshasa School of Public Health... 和其他合作者完全的